Unfortunately, the diagnosis does not always represent the problem. In other words, I could have 3 people with the same exact diagnosis, such as a Lumbar Disc Bulge, in the same exact place, ie. L3-L4. However, patient (1) may have stiffness in that area, requiring primarily spinal mobilization. Patient (2) may have looseness in that area, requiring primarily core exercizes. Patient (3) may require a McKenzie extension protocol.
This is why there is not a “one size fits all” treatment plan for Disc Bulge or any other diagnosis. At BPT, we evaluate and treat how the diagnosis presents itself, as stated above.
~ Peter St.Germain, PT.